James,
Just so you know... I am a volunteer here. So that means I'm here in between work, family, school, and life.... I do the best that I can to get to everyone in a timely manner. Sometimes it's not as quick as one would like, but this is the best that I can do. I'm sure you understand.

I will re post your questions as you have written them and place them within these symbols << >> and then answer you in regular type.

<<WHAT DO YOU SEE IN THE X-RAY THAT MIGHT INDICATE 6 IS A CONCERN? SHOULD I GO TO A ORAL MAXILLOFACIAL RADIOLOGIST (OMR) TO HAVE A FULL INTERPRETATION AND STUDY? tHESE omr'S ARE HARD TO FIND i GOOGLED THEM IN MY AREA AND FOUND NONE ONLY A HOSPITAL THAT ONLY CATERS TO PRACTITIONERS. aS USUAL THE PATIENT IS NOT IMPORTANT OR OF ANY CONCERN. DO YOU KNOW HOE TO FIND ONE OF THESE GUYS?>>

Tooth #6 appears to have decay or some sort of absorption on the lingual (palate) side of the tooth above the crown margin into the root. You can see it in several shots but here's one...
http://neurotalk.psychcentral.com/at...6&d=1443506031
You do not need a specialist to diagnose the deterioration of your teeth. A general dentist, any dentist, is educated in reading xrays and diagnosing tooth decay. Your tooth problems are not invisible to an educated professional.

<<THIS TOOTH #2 HAS A CROWN THAT IS MISSING A PIECE OF THE PORCELAIN THAT IS WHY YOU SEE THE WHITE WITH A MISSING PIECE. AS YOU SAY I WILL NEED TO HAVE THAT LOOKED AT CAREFULLY. IT MAY ALSO BE A BONE RECESSION SINCE THAT LOOKS DARK ON AN X-RAY. HOW CAN VITALITY BE CHECKED? BY HITTING OR PLACING HOT AND COLD?>>

Tooth #2 crown may be missing some porcelain but the likelihood of decay on this tooth is pretty certain and there is definitely an abnormal division of the root system in the root trunk area. Abnormal meaning the joining of root system is no longer in tact, it is separated. This occurs from a disease process like periodontal disease or tooth decay where bacteria is able to collect resulting in bone loss. When the loss is severe enough to deteriorate the root trunk, the tooth becomes very fragile and often fractures.
Vitality can be checked with hot or cold temps but it can also be diagnosed by the xrays that would show calcified canals, root/tooth resorption or some other deterioration in the root system. Teeth #2, 4, 12, 13, and 14 in your upper arch show radio graphic signs of reduced vitality if not non vital.

<<TOOTH #4 SINUS PERF: I AGREE. AS A MATTER OF FACT I HAVE BEEN FEELING ON MY RIGHT NOSTRIL RECENTLY LIKE I HAVE SOMETHING INSIDE DEEP UP IN THE NOSTRIL WHICH I TRY TO REMOVE BY BLOWING MY NOSE. THIS MAY BE DUE TO THE PERFORATION. I HOPE NOT. IF SO DOES THAT NEED A MEMBRANE OR SOME OTHER FIX? HOW WOULD THE DR DEBRIDLE THE BONE AND CLEAN THE SOCKET? SCARY>>

There is a cyst in the bone attached to tooth #4. It is common to see this on infected teeth. If the cyst has not perforated the sinus, then it is certainly putting pressure and causing inflammation on the sinus membrane. That would give you the nasal symptoms. The only way to determine the exact location, depth and size of the cyst is to remove the tooth and explore that area with surgical instruments. Chances are the sinus will be perforated when this tooth and cyst is removed. The size of the perforation depends on the extent of the bacteria and deterioration it has caused. Most small sinus perforations will heal on their own if there is no lingering infection. Some perforations need to be mended closed. This procedure depends on the size, location and depth of the perforation and how healthy the surrounding tissue and bone is after the tooth is removed.

<<Regarding the upper left teeth: I agree and appreciate your thinking ahead but as i said unless they are dead or irreparably infected i will not remove. Now please explain to me what is a partial denture and how would it be attached in my maxilla? I hope you are not talking about one of those glued to the celing of the mouth. For now i need to focus on extracting #4 before it explodes on a painful cyst and a swollen face! I'm on borrowed time trying to get educated and interviewing dentists. Tomorrow i have an appointment lets see what he says. I don't expect much from what i see on his site but at least is an opinion other than my traditional conventional dentist.>>

Those teeth are not healthy and possibly non vital. Therefore their longevity is limited and there is bacteria brewing around each one of them. Ideally this area of your mouth should be taken into consideration when deciding on replacement options for the upper right.

A removable partial denture is... removable, it is not cemented to anything. It is like a full denture but it's smaller and only replaces the missing teeth.

What did this new dentist have to say??